scholarly journals Comparison of osteotomy technique and jig type in completion of distal femoral osteotomies for correction of medial patellar luxation

2017 ◽  
Vol 30 (01) ◽  
pp. 28-36 ◽  
Author(s):  
Lisa Piras ◽  
Bruno Peirone ◽  
Derek Fox ◽  
Matteo Olimpo
Keyword(s):  
Clinical Significance ◽  
Frontal Plane ◽  
Transverse Plane ◽  
Wedge Osteotomy ◽  
Angular Deformity ◽  
Femoral Bone ◽  
Radiographic Assessment ◽  
Opening Wedge ◽  
Different Types ◽  
Osteotomy Technique

SummaryObjectives: Femoral osteotomies are frequently completed to correct malalignment associated with patellar luxation. The objectives of this study were to compare the use of: 1) two different types of jig; and 2) different types of osteotomy in the realignment of canine femoral bone models which possessed various iterations of angular deformity.Methods: Models of canine femora possessing distal varus, external torsion and a combination of varus and torsion underwent correction utilizing two alignment jigs (Slocum jig and Deformity Reduction Device) and either a closing wedge ostectomy (CWO) or an opening wedge osteotomy (OWO). Post-correctional alignment was evaluated by radiographic assessment and compared between groups.Results: The use of the Slocum jig resulted in frontal plane overcorrection when used with CWO in models of femoral varus, and when used with OWO in models of femoral varus and external torsion when compared to other techniques. The Deformity Reduction Device tended to realign the frontal plane closer to the post-correction target value in all angulation types. The use of both jigs resulted in undercorrection in the transverse plane in models with varus and torsion.Clinical significance: Jig selection and osteotomy type may lead to different post-correctional alignment results when performing distal femoral osteotomies. Whereas OWO allows accurate correction when used with either jig to address frontal plane deformities, the Deformity Reduction Device can be utilized with both CWO and OWO to correct torsion-angulation femoral deformities to optimize frontal plane alignment.

CORRECTIVE OSTEOTOMY AND LOCAL BONE GRAFTING FOR EXTRA-ARTICULAR MALUNION OF THE PROXIMAL PHALANX

Hand Surgery ◽  
2012 ◽  
Vol 17 (03) ◽  
pp. 399-403
Author(s):  
John T. Capo ◽  
Ben Shamian ◽  
Philip K. Lim
Keyword(s):  
Bone Graft ◽  
Hand Function ◽  
Corrective Osteotomy ◽  
Proximal Phalanx ◽  
Wedge Osteotomy ◽  
Angular Deformity ◽  
Opening Wedge ◽  
Local Bone ◽  
Dual Plating ◽  
Osteotomy Technique

Corrective osteotomies are often utilised to treat finger deformities that may occur due to a phalangeal malunion. Rotational or angular malalignment, in addition to shortening of the digit may negatively affect hand function and be aesthetically displeasing. Thorough preoperative examination of the malunion and its associated deformities is crucial in determining the type of osteotomy technique to be used. Osteotomies can create bony defects that need to be filled with bone graft or some type of graft substitute. We describe an opening wedge osteotomy with local cancellous bone graft combined with dual plating to treat a dorsal angular deformity in a proximal phalangeal malunion.

Outcomes of Opening Wedge Osteotomy to Correct Angular Deformity in Clinodactyly

2014 ◽  
Vol 39 (9) ◽  
pp. e18-e19
Author(s):  
Samantha L. Piper ◽  
Charles A. Goldfarb ◽  
Lindley Wall
Keyword(s):  
Wedge Osteotomy ◽  
Angular Deformity ◽  
Opening Wedge

Opening wedge phalangeal osteotomy for correction of Wassel type IV-D thumb duplication

2019 ◽  
Vol 52 (02) ◽  
pp. 147-150
Author(s):  
Kun Wang ◽  
Fangxin Ai ◽  
Pan Zhou ◽  
Zhiwei Liu ◽  
Zhenbing Chen ◽  
...  
Keyword(s):  
Metacarpophalangeal Joint ◽  
Suture Technique ◽  
Wedge Osteotomy ◽  
Angular Deformity ◽  
Opening Wedge ◽  
Type Iv ◽  
Pull Out ◽  
Thumb Duplication ◽  
The Right ◽  
Pull Out Suture

Abstract Background Thumb duplication is one of common anomalies of the hand. Among of Wassel type IV subtypes, type IV-D duplication with a zigzag deformity is most challenging for reconstructing. Several factors may affect the surgical outcomes. This study aimed to present an opening wedge osteotomy at proximal phalangeal neck for treating type IV-D duplication. Methods Data from 14 patients are presented in this study. Eight patients had duplication of the right thumb, and six left thumb. After removal of radial supernumerary thumb, a snug collateral ligament was repaired to correct angular deformity of metacarpophalangeal joint (MCP). Angular deformity of the interphalangeal (IP) joint was corrected by an opening wedge osteotomy at the proximal phalangeal neck. A wedge bone from ablated thumb was grafted to correct the malalignment. IP joint was further stabilized by plication of the ulnar capsule. The relocation of radial part of FPL to the center of distal phalangeal base by use of pull-out suture technique Results After surgery, the angulations of the IP joints and the MCP joints were improved. Bone union was observed in all patients. According to the Japanese Society for Surgery of the Hand evaluation form, twelve cases were rated good, 2 cases fair. Stability of IP and MCP joints was good in all cases. The active ROM of IP was less in residual thumb than in normal thumb. Small nails were observed in some patients. Conclusions Although the reconstructed thumbs were smaller than normal counterparts, they were aligned and with stable joints. The opening wedge osteotomy at proximal phalangeal neck could improve realignment of IP joint and prevent reoccurrence of deformity over time.

scholarly journals Outcomes of Opening Wedge Osteotomy to Correct Angular Deformity in Little Finger Clinodactyly

2015 ◽  
Vol 40 (5) ◽  
pp. 908-913.e1 ◽  
Author(s):  
Samantha L. Piper ◽  
Charles A. Goldfarb ◽  
Lindley B. Wall
Keyword(s):  
Wedge Osteotomy ◽  
Angular Deformity ◽  
Opening Wedge ◽  
Little Finger

Radiographic Assessment of Medial Cuneiform Opening Wedge Osteotomy for Flatfoot Correction

2012 ◽  
Vol 33 (6) ◽  
pp. 498-500 ◽  
Author(s):  
Deborah Castaneda ◽  
David B. Thordarson ◽  
Timothy P. Charlton
Keyword(s):  
Wedge Osteotomy ◽  
Radiographic Assessment ◽  
Opening Wedge ◽  
Medial Cuneiform

TRAPEZOID ROTATIONAL BONE GRAFT OSTEOTOMY FOR METACARPAL AND PHALANGEAL FRACTURE MALUNION

2007 ◽  
Vol 32 (3) ◽  
pp. 282-288 ◽  
Author(s):  
F. C. YONG ◽  
S. H. TAN ◽  
B. P. B. TOW ◽  
L. C. TEOH
Keyword(s):  
Bone Graft ◽  
Corrective Osteotomy ◽  
Wedge Osteotomy ◽  
Angular Deformity ◽  
Opening Wedge ◽  
Metacarpal Head ◽  
Bone Length ◽  
Double Osteotomy ◽  
Bone Shortening ◽  
Phalangeal Fracture

Metacarpal and phalangeal fracture malunions with significant angulation deformity are associated with bone shortening, prominence of the metacarpal head in the palm or pseudoclaw deformity and may be symptomatic. If so, they may need corrective osteotomy procedures. Conventional methods of closing, or opening, wedge osteotomy do not restore the length of the bone exactly. Simultaneous correction of the angular deformity and restoration of bone length can be addressed by a trapezoid rotational bone graft osteotomy. A double osteotomy is done and the segment of bone is rotated and re-inserted as a bone graft. This was done successfully in four metacarpal and two phalangeal fracture malunions with angulation deformities.

Treatment of a Paediatric Distal Femoral Malunion Deformity

2018 ◽  
Vol 31 (03) ◽  
pp. 222-228
Author(s):  
Greta Pavarotti ◽  
Randy Boudrieau
Keyword(s):  
Bone Growth ◽  
External Rotation ◽  
Guide Wire ◽  
Deformity Correction ◽  
Valgus Deformity ◽  
Wedge Osteotomy ◽  
Angular Deformity ◽  
Opening Wedge ◽  
Distal Epiphysis ◽  
Femoral Deformity

Objective The aim of this article was to describe the surgical re-alignment technique and stabilization of a distal femoral deformity in a 6-week-old, male, Foxhound. Methods A healing metaphyseal fracture, resulting in a valgus deformity with internal rotation, was observed just proximal to the distal femoral physis. The deformity was treated by an opening wedge osteotomy with lateral translation and external rotation of the distal epiphysis using a guide-wire technique; a corticocancellous allograft bridged the defect, which was stabilized with a 2.0-mm locking Y-plate designed for human phalangeal fractures. Results Successful deformity correction was obtained with subsequent healing of the osteotomy and maintained longitudinal bone growth. Sciatic neurapraxia developed as a result of a migrating adjunct pin (9 days post-operatively), which was removed. At long-term follow-up (4 years), a 12% shortening of the femur did result in addition to an asymptomatic grade 2 medial patellar luxation (MPL). The cause of the MPL was not evident; the owners declined treatment and the dog continued to function as an active hunting dog. Clinical Significance Prior to ossification of the epiphyses in very young animals, which precludes effective radiographic pre-planning, the guide-wire technique can be utilized as the primary tool for performing angular deformity correction. Adequate fixation and stabilization can be obtained with small human specialty locking plates.

scholarly journals COMPARATIVE STUDY OF THE TYPES OF FIXATION IN ADOLESCENT IDIOPATHIC SCOLIOSIS

2021 ◽  
Vol 20 (1) ◽  
pp. 14-19
Author(s):  
Enguer Beraldo Garcia ◽  
Liliane Faria Garcia ◽  
Enguer Beraldo Garcia Júnior ◽  
André de Sá ◽  
Victor de Oliveira Matos ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Comparative Study ◽  
Cobb Angle ◽  
Frontal Plane ◽  
Angular Deformity ◽  
Level Of Evidence ◽  
Different Types

ABSTRACT Objective: To conduct a comparative study of the results obtained in the treatment of adolescent idiopathic scoliosis (AIS) with different types of fixations (traditional, selective and multiple), and to evaluate the correction of angular deformity in the frontal plane by the Cobb and sacral clavicular angle (SCA) methods. Methods: A study of a group of 278 patients with AIS who underwent selective, traditional, and multiple fixation surgeries. Results: Significant corrections of both the Cobb angle and the SCA were observed. Conclusions: In the multiple fixation surgeries there was a 100% correction between the preoperative and postoperative SCA values and a 50% correction in the traditional and selective fixations, a difference considered significant. Regarding the Cobb angle, the three fixations presented corrections between preop and postop with significant differences. Level of evidence III; Retrospective Study.

scholarly journals A Novel Technique of Transpedicular Opening-wedge Osteotomy for Treatmtent of Rigid Kyphosis in Patients With Ankylosing Spondylitis

2021 ◽  
Author(s):  
Guangbin Zheng ◽  
Zhenghua Hong ◽  
zhangfu Wang ◽  
Binbin Zheng
Keyword(s):  
Ankylosing Spondylitis ◽  
Blood Loss ◽  
Operating Time ◽  
Anterior Column ◽  
Wedge Osteotomy ◽  
Opening Wedge ◽  
Pull Out ◽  
Estimated Blood Loss ◽  
Osteotomy Technique

Abstract BackgroundTo investigate the effectiveness and feasibility of a novel vertebral osteotomy technique, transpedicular opening-wedge osteotomy (TOWO) for correcting rigid thoracolumbar kyphotic deformity in patients with ankylosing spondylitis (AS).Methods18 AS patients underwent TOWO for correcting rigid thoracolumbar kyphosis. Radiographic parameters were compared before surgery, 1 week after surgery and at last follow-up. SRS-22 questionnaire was assessed before surgery and at last follow-up to evaluate clinical improvement. The operating time, estimated blood loss and complications were analyzed. ResultsThe mean operating time and estimated blood loss were 236 minutes and 595 ml, respectively. Sagittal parameters improved significantly after surgery. The height of anterior column of osteotomized vertebrae was increased significantly at 1 week after surgery and last follow-up when compared to preoperative, but the height of middle column did not changed significantly. SRS-22 scores were improved significantly at last follow-up than preoperative. Solid fusion was achieved in all patients after 12 months follow-up, no screw loosening, screw pull out or rod breakage was noticed at last follow-up. ConclusionsTOWO could achieve a satisfactory kyphosis correction by opening anterior column instead of vertebral body decancellation and posterior column closing, which simplified the osteotomy procedure and improved the surgical efficacy.

scholarly journals Midterm follow-up results of two different types of implants in opening wedge high tibia osteotomy

The Knee ◽  
2021 ◽  
Vol 31 ◽  
pp. 11-21
Author(s):  
Simo Miettinen ◽  
Henrik Nyländen ◽  
Jussi Jalkanen ◽  
Hannu Miettinen ◽  
Heikki Kröger ◽  
...  
Keyword(s):  
Opening Wedge ◽  
Different Types ◽  
Tibia Osteotomy
Sign in / Sign up

Export Citation Format

Share Document